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Prepatellar Bursitis Under Ultrasound – A Live Demo by Dr. Debjyoti Dutta

Asian Pain Academy logo, text: "Ultrasound Guided Aspiration: Prepatellar Bursitis," image of knee, person smiling, website, and contact info.

Live demonstration by Dr. Debjyoti Dutta | Faculty, Asian Pain Academy

In this educational video, Dr. Debjyoti Dutta, senior pain specialist and core faculty of Asian Pain Academy, presents a focused and clinically relevant ultrasound demonstration of prepatellar bursitis—a common yet often under-evaluated cause of anterior knee pain.

With increasing use of musculoskeletal ultrasound in pain practice, the ability to identify and treat prepatellar bursitis under ultrasound is a valuable skill for pain physicians, orthopedists, and sports medicine professionals.



What Is Prepatellar Bursitis?

The prepatellar bursa is located between the skin and the patella. It reduces friction during knee movements but is vulnerable to inflammation, especially in individuals who kneel frequently, such as construction workers or housekeepers—leading to the nickname “housemaid’s knee.”

Inflammation in this bursa results in swelling, tenderness, and pain over the kneecap. Infected bursitis may present with redness and fever. Ultrasound can help differentiate between sterile and septic bursitis, or from other soft tissue conditions like cellulitis and fat pad inflammation.



Ultrasound Appearance of Prepatellar Bursitis

Using a high-frequency linear probe, the bursa appears as a fluid-filled, anechoic or hypoechoic space superficial to the patella. In some cases, internal echoes or septations may be seen, indicating chronicity or infection.

The procedure demonstrated by Dr. Dutta includes proper probe placement, image optimization, and techniques to distinguish bursitis from abscesses or fat pad edema. Compressibility of the fluid collection under probe pressure is a reliable sign confirming the diagnosis of prepatellar bursitis under ultrasound.



USG-Guided Treatment of Prepatellar Bursitis

Once diagnosed, ultrasound-guided aspiration and steroid injection become the mainstays of treatment. This avoids blind injections, increases success rates, and minimizes complications.

In the video, Dr. Dutta outlines safe needle approach and real-time visualization of fluid aspiration. Corticosteroid injections can follow if infection is ruled out.

In cases of septic bursitis, aspiration followed by culture and targeted antibiotics is advised. For chronic or recurrent cases, compression, rest, and protective padding help prevent recurrence.



Why Learning This Skill Matters

Being able to detect and manage prepatellar bursitis under ultrasound expands your diagnostic confidence in anterior knee pain. It avoids unnecessary MRI or empirical treatment. With training, even new users of ultrasound can master this simple yet powerful application.

Asian Pain Academy integrates such practical, live demonstrations in its ultrasound-guided pain intervention fellowships. With expert guidance from Dr. Debjyoti Dutta and other faculty, clinicians learn real-world application of sonography in pain practice—far beyond textbook knowledge.



Want to learn more?

Join the Ultrasound-Guided Pain Intervention Fellowship at Asian Pain Academy to master techniques like these. From diagnosis to intervention, our courses blend live patient scanning with step-by-step procedural learning.

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  • Can I see a sample certificate for the 6-month Fellowship in Pain Medicine offered by Asian Pain Academy?
    A sample certificate issued by the Asian Pain Academy for a 6-month fellowship in pain medicine. This template demonstrates the format, the American Accreditation Association (AAA) validation details, and key certificate information. https://www.asianpainacademy.com/sample-certificate
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    The 6-Month Fellowship in Pain Medicine covers general pain management topics, C-arm-guided procedures, and a few selected MSK USG-guided interventions. The 1-Year Pain Management Fellowship is more comprehensive, covering all aspects of Pain Management, including both basic and advanced MSK USG-guided procedures.
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    There is a basic difference between a degree and fellowship, A degree is an academic qualification awarded by a university or institution upon completing a structured program of study, such as a bachelor's, master's, or doctoral degree. It provides foundational and advanced knowledge in a broad field, forming the primary educational requirement for a profession. In contrast, a fellowship is a specialized training program pursued after obtaining a degree, focusing on advanced skills, research, or clinical expertise in a niche area. Fellowships are usually shorter in duration and are designed for professionals seeking further specialization. For example, FIPP (Fellow of Interventional Pain Practice) and CIPS (Certified Interventional Pain Sonologist) are fellowships that enhance expertise in interventional pain management, complementing a physician's prior medical education and training.
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    Check out the details of our 6-month online Ultrasound-Guided Procedures in Pain Medicine Course (with an optional Hands-on Workshop) [here](https://www.asianpainacademy.com/musculoskeletal-ultrasound-pain-management-course-india). If you have any specific questions, feel free to ask! Course Registration link: [Register here](https://www.asianpainacademy.com/msk-usg-course-1).
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    6-month online Pain Management Course, and there’s an option to join a hands-on workshop too. 🔗 Course Details link - https://www.asianpainacademy.com/chronic-pain-management-fellowship-india If u are not able to open the above link in what's app please save my number +919432288997 in your mobile contacts. If you have any questions, just ask!
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